Question 136: Are we allowed to use fluids administered by Emergency Medical Services (EMS) in route to our facility? Answer 136: Yes, depending on the rate at which they are administered and whether or not there is an order or protocol that serves as an order. Fluids must be given at a rate greater than 125 ml/hour (equivalent to 1000 ml…
Among the confusing rules for sepsis abstractions, is the one regarding which lactate is the initial lactate collected when multiple lactates are drawn. Additionally, clarification has been received from Qnet regarding differences in wording between the related data elements. For abstraction, arterial and venous lactate levels may be used. Point of care lactate can be used. For purposes of the measure the initial lactate is not…
Have you been wondering why some of your team members seem more motivated than others? Do some work with a sense of accomplishment and excited about their career while others seems to be just following the procedures? We have found an article by Manny Rodrguez, MS, bSci21 Contributing Writer that describes the differences in generations and their approach to work values, leadership styles, communication and job…
Identifying infections for the purpose of determining severe sepsis presents a variety of challenges. Whether you are a novice with abstracting severe sepsis case or have been doing it for several months, here are some guidelines: DO NOT USE: Terms on an X-ray that would have been used when abstracting an “abnormal x-ray” for a pneumonia core measure chart – such as infiltrates. Viral or fungal…
